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HomeMy WebLinkAboutPermit CITY OF TIGARD ELECTRICAL PERMIT liii .. COMMUNITY DEVELOPMENT Permit #: ELC2013 -00442 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/29/2013 Parcel: 2S103DD00400 Jurisdiction: Tigard Site address: 13727 SW PACIFIC HWY 400 Project: Hertz Rental Subdivision: MELROSE Lot: 2 Project Description: Reconnect new cashier Contractor: WELL DONE ELECTRIC Owner: WILSON'S TIGARD RETAIL CENTER IN 17045 SE ROYER RD BY ORIX CAPITAL MARKETS, LLC DAMASCUS, OR 97089 ESCROW ADMIN 1717 MAIN ST, 8TH FL DALLAS, TX 75201 PHONE: 503 - 209 -4006 PHONE: FAX: 503 - 558 -1297 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 07/29/2013 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 07/29/2013 $7.63 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 Required Items and Reports (Conditions) This permit is is - • .'ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done ' accordance with - ••roved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspe = -. for more the 180 days ATTENTI•N: Oregon la requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rule set forth in OAR 95 001 - 0010th .ugh OAR 952-001 00 0. Yo ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.23..' - sued By: j t .�CS CJ�( Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: / / / LICENSE NO. 57, Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept In a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each Inspection. Jul 26 13 07:47a Well Done Electric 503 - 558 -1297 p.1 • • hteatlto *gem Permit No.= GG �- i /3 -ao 4/4/ . - city of al Permit A Rece ?/a4 �, lectric Dada other Permit: Tigard l l I L 9 2013 Plan Review Paget for OR 2 '' ' Datr1 Supplemental Information i ll - ' 13125:5 H .2439 Tigard. 47 vriGP►RD Dote cfBv: 'mY' Phone: 503.718.2439 Fax: j03.598.�=3 1 o notified Meted T 1 inspection Lino 503.639. / s wlitcros c hecked belnow) G AR O' Internet: www.tig#rrd-or geo \ _ I it i submu s ets of plan g WORK Please cluck a drat appl . uild ove three stoes. TYPE OF service or finder ll 400 a err m are nt .13T inas iog and boat ere the a ver 1ab1e fault cu d atg b uildrngs construction 13:1 Additionlaltecatioolreplaceme e xc eeds 10 amp y at l s was or ❑ New olidon wh m ouo d. ar exce 14,000 ❑ Flo clomminerciel-use agr tuiltucal CI Other: l� gr buildings. y ]7enlolition OF CONSTRUCTION I 0 P ire pump- tareer SOp mps for all other installations. 0 Il of 150 AV A or CATEGORY Accessory building 1 �peiy derived system 1-family dwelling Q Commercial/industrial a Other. 0 e � nc • sy stem. � ,. A •• °t -2 ", 't ; CI 1 - and : y Addition of t>e" motor load of occupancy. Master bu ilder A TS ON Recreational vehicle ps- Multi -family .• • 10011P or more ial units. Y fop more than JOB SITE INFORMATION AND L� �� ,1.-- - , 4 J .. � ..: -, ' % ❑Sixa resi1i 1 w nosm site address: f c T ❑� Heah Fseili rpp noatinal. Job - /•' -_ 0 ps or more. Job n o.: - '� „ice [seder 60o am Lale/ % d — : '_ 2 4 . - r t':_.--,..,- -•s ' { . . ; . I - ! FEE SCHEDLI� Toni 0 City/Stale/ZIP �' J ! ' r J_ L. �. '. r Project name. E ' c F �� dueling unit. 4 / t no.: QpG i a le- or multi fetnity Cross bldg- aP w residential sing job site: New attaebed gart�e. �� Cross sb t'directions to j � 1,000 sy s a . Lot no.: Ea 5dd•I 500 500 sq. ft. or portion �� Limited energy, residential 1111 75.00 Subdivision: (urithabove ,.ft DESCRU'770N OF WOA • Tax map/parcel no.: Li mited energy, multi-family 75.00 MI K residential with above • ft. D Sec Pa. • 2 s /� R e newable En • a 0 and/or relocation ), i. e a ~, Serv o r feeders installation. '„ = • � 100.70 200 amps or ics$ 1111111=111111111 2 CI TENANT 20l amps to 400 amps 200.34 _© PROPERTY O��'N ER amps dae: ! t ` -.1: j 401 amps to m t/ 6 01 a m p s m 1 amps 301.04 � 2 , 5522 Over 1,000 amps or volts services or feeders andlor Address: Temporary installation, alteration, City!State /ZIP: relocation Phone: ( ) � , r Foss: ( ) 200 amps of less Owner installation: This installation is being mallc on prop' that 1 0 which is not 2 01 amps to 400 amps - - _ 'IA no 16854 1111111113 intended for sale- lease, rcpt or exchange, according to ORS 447. 449. 67 67 and 701 • 401 amps to 599 amps Branch circuits - W. alteration or estrnaion, • r • anal Owner signature: Date: - A. Fee for branch circuits ,virii CONTACT -- PERSON APPLLCANT —�� E.3 _ _- gbOyC Service or fcodcr fee, 2 each branch cln:uit Business name: B. Fee for branch circuits without / service or feeder fee, first 56.18 4 , i , r Z Contact name: branch circuit Each add'I branch circuit 7 42 2 Address: Miscellaneous service or feeder not Included City /State'ZlP Eacb manufactured or modular 67.84 2 dwell in , service sndior feeder Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 L.mail : Pump or irrigation circle 2 sow. CONTRACTOR Sig o lighting 67.84 2 Businessnamc' t / 1. . A • J�,.�,�� f ,1 � .&.'./".7'. ✓ J ' � r St®+al cvcut[(s)arl e td ert miner n a y ( . ' �� el alt erat io n, or extension. 2 Address: `, , � . r � , r� ' _; Itach adttn ins ectlnv e r afl o w atlle in sera al the above Y Add in ion (1 hr min) 66.251 hr City/Stale/ZIP: p /_\ • .L.{ , - e invcsligution(1Itrmin) 6625/hr • Pltone_ (.5-re-9 ?f - / / r - Fa , ` — f, :� / i Industrial Ow (l hr mm) . 78.18/ hr ai. ` " Inspections for which no fee is 90.00/ hr CCB Lic � 1 :' !� El ectr i ca l Li c.: _i � � � S upn•. Lic. 1,71_ S ,S s. • i ft c �ll l isted %: hr min) r ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: r l / f Subtotal: !, ' ..;� Print name: /_ • � . p�c: �- J e . • - Pl r eview (25 %of permit fee): ge oait fee): A uthorized signature: TOTAL (12 % PERM FEE: _� This Print name: 1 Date: Putt app State lication surchar expires if a pertai is act abs ioe xithin 180 days after it has been accepted as Complete. ' Number of 1-tBui'dirprtParmir- +1EI.0 P�'m%rAnn_FJ.lt ERF c xevnp27norr -.era +e.: -rti.:os :C0741w'ea l allowed Per/;enn11